| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 96413 |
Chemotherapy administration, intravenous infusion; up to 1 hour, single or initial substance |
316 |
214 |
$30K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,068 |
1,033 |
$24K |
| 96367 |
|
162 |
102 |
$6K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
1,266 |
994 |
$4K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
15 |
12 |
$167.75 |
| J2405 |
Injection, ondansetron hydrochloride, per 1 mg |
154 |
96 |
$131.53 |
| 85027 |
|
21 |
20 |
$91.78 |